Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, 98195, USA.
Department of Public Health, Department of Obstetrics, Gynecology and Reproductive Biology, Charles Stewart Mott, Michigan State University, East Lansing, USA.
Curr Psychiatry Rep. 2023 Jul;25(7):301-311. doi: 10.1007/s11920-023-01426-8. Epub 2023 May 31.
PURPOSE OF REVIEW: To summarize recent findings in global mental health along several domains including socioeconomic determinants, inequities, funding, and inclusion in global mental health research and practice. RECENT FINDINGS: Mental illness continues to disproportionately impact vulnerable populations and treatment coverage continues to be low globally. Advances in integrating mental health care and adopting task-shifting are accompanied by implementation challenges. The mental health impact of recent global events such as the COVID-19 pandemic, geo-political events, and environmental change is likely to persist and require coordinated care approaches for those in need of psychosocial support. Inequities also exist in funding for global mental health and there has been gradual progress in terms of building local capacity for mental health care programs and research. Lastly, there is an increasing effort to include people with lived experiences of mental health in research and policy shaping efforts. The field of global mental health will likely continue to be informed by evidence and perspectives originating increasingly from low- and middle-income countries along with ongoing global events and centering of relevant stakeholders.
目的综述:总结全球精神卫生领域的近期发现,包括社会经济决定因素、不平等、资金以及全球精神卫生研究和实践中的包容性。
最近的发现:精神疾病继续不成比例地影响弱势群体,全球的治疗覆盖率仍然很低。将精神卫生保健纳入常规并采用任务分担的做法取得了进展,但同时也面临实施方面的挑战。最近发生的全球事件(如 COVID-19 大流行、地缘政治事件和环境变化)对心理健康产生的影响可能会持续存在,需要为需要心理社会支持的人提供协调一致的护理方法。全球精神卫生资金方面也存在不平等现象,在为精神卫生保健方案和研究建立地方能力方面已经取得了渐进式进展。最后,越来越多的人努力让有精神健康体验的人参与到研究和政策制定工作中。全球精神卫生领域可能会继续受到越来越多来自中低收入国家的证据和观点的影响,同时也会受到持续的全球事件和相关利益攸关方的关注。
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